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Michigan rates for HCPCS 52442

Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; each additional permanent adjustable transprostatic implant (List separately in addition to code for primary procedure)

Facilitymedian $2,042 · 10th–90th $65–$4,8980%10%20%10th90th$2,042Professionalmedian $550 · 10th–90th $50–$1,6600%10%10th90th$550$0.5$2.0$10.0$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $2,041.74 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $758.58 / $1,698.24
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $43.65 / $43.65
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $75.86 / $75.86
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $75.86 / $1,318.26
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $158.49 / $1,230.27
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $2,041.74 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $933.25 / $1,548.82
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $83.18 / $1,230.27
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$794.33 / $1,348.96 / $5,011.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $831.76 / $1,348.96